Gonadotropic Axis, Bone Mass, and Sarcopenia Assessment After Autologous Hematopoietic Stem Cell Transplantation for Lymphoma

Author:

Leal Christianne Tolêdo de Souza1ORCID,Souza Viviane Angelina de1,Ferreira Júlia Diniz1,Zanini Alexandre1,Santos Kelli Borges dos1,Ezequiel Danielle Guedes Andrade1,Neto Abrahão Elias Hallack1

Affiliation:

1. Department of Internal Medicine Federal University of Juiz de Fora Juiz de Fora Brazil

Abstract

ABSTRACTGonadal dysfunction, the most frequent endocrine complication in both sexes after autologous hematopoietic cell transplant (HCT) could increase bone loss and sarcopenia, a disease characterized by reduced muscle strength and mass. Sarcopenia is associated with worse survival, lower remission rates, and progression‐free survival in patients with lymphoma after HCT. Low bone mass affected approximately 20% of the transplanted patients within 2 years and harms quality of life. This study was conducted in a single center and identified a strong relationship with patients transplanted more recently by LEC (lomustine, etoposide, and cyclophosphamide) conditioning regimen with sarcopenia. Peripheral neuropathy and bone mass changes were also associated with sarcopenia as well, suggesting a relationship with muscle strength loss.

Publisher

Wiley

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